Selective vagotomy

Selective vagotomy

  • Selective vagotomy involves division of the vagal trunks distal to the hepatic and celiac branches, thereby preserving vagal innervation to the gallbladder and celiac plexus.
  • This reduces the incidence of gallbladder dysmotility, gallstones, and diarrhea. However, selective vagotomy also results in complete gastric vagotomy, necessitating a drainage procedure.
  • Selective vagotomy is not the operation of choice, as it is needlessly complex and not superior to truncal vagotomy; it is rarely used and only of historic importance.
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